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UPDATE #36

Posted 05/27/2020

1)MASKS ARE MANDATORY

We are now requiring either a cloth mask or a surgical mask for all waking hours while on shift except when you are actively eating and or sleeping. If you are eating, you should distance yourself from others. This mandatory mask order extends beyond the previous HQ and maintenance to include all stations. This includes driving, hanging out at station etc. Anytime you are not actively eating or sleeping you must have a mask on. This will be strictly enforced. Keep as much distance as you can from others, ideally 6 feet or more when you can as well. See your supervisor if you need a surgical mask specifically issued to you. Thanks

2) BED BARRIERS

Doug has started the install of the bed separation barriers. Please make sure the curtain always remains pulled to keep the protection between beds.

3)PATIENT INFORMATION IS MANDATORY
If your patient has a gcs of 15 you need to obtain all information including name, address, ss, insurance and telephone numbers. If you are unable to obtain something you must give a detailed description in the narrative. We will be auditing and addressing any deficiencies

4)ZONE NUTRITION SNACKS
McCormick received 4 pallets of snacks donated by the All Clear Foundation and Abbott. We will be sending routine packages to your stations for you all to enjoy. It was a very generous donation and we would like to thank them with pictures. Sups may be taking pictures of you with the donated items so we can share our appreciation

5) WANT TO BE ON McCORMICKS SOCIAL MEDIA PAGES?
Please text any cool shots you have to 909-908-0707 with your name for credit to be considered. They must be pictures you own that you are releasing to McCormick to use. They must all be policy abiding (uniform, masks and not while on an active call). If you prefer email send the pic to mjones@gmr.net

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6)Patient Phone Number Documentation

Every transported patient record created in the MEDSe PCR system must have the patient’s cell phone number documented in the “Cell Phone” field.While this field is not a mandatory field within the system, you will have to remember to accurately obtain and enter the information for each transported patiente PCR. There are certainly valid instances in which you will not be able to obtain a patient’s cell phone number. In these situations, you must document the reason why you could not obtain the information within the narrative section of thee PCR.

We will be conducting reviews of ePCRs and they will be placed into one of two categories:COMPLIANT or NON-COMPLIANT.

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Compliant indicates that either the phone number was documented or the reason why it could not be obtained is stated in the narrative and documented coincides with the rest of the documentation in thee PCR.

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Non-Compliant indicates that the phone number was not documented and there is no reason documented in the narrative section or the reason documented does not match the rest of the documentation in the ePCR.

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•Employees with non-compliant ePCRs will be provided coaching and re-education on the topic to ensure future success.

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•Employees that continue to fail to demonstrate improvement on the issue will be subject to disciplinary action.

As a reminder, every single field in the ePCRis important and every effort should be made to obtain and document the correct information in each applicable field.

A field that is not “mandatory” does not equate to “not important” or “do not obtain.”

ON GOING
1)PPE (URGENT NEW PATIENT GUIDELINES updated 5/13/20)
The following update is in regard to PPE for all HCP’s within 6 feet of a patient. Please follow these guidelines and remember, hand washing and ambulance decon procedures using company approved disinfectant (Pro-Tech) should be utilized after all patient contacts/transports. Utilize the ambulance fogger for confirmed COVID positive and or suspected COVID patients when available. Contact your on-duty supervisor for fogging guidelines.

HERE ARE LaCoFD EXPECTATIONS
•Due to known community spread, ALL patients both medical and trauma shall be considered COVID positive. Any response to a group home (homeless shelter, convalescent home, jails, etc.), minimize first responder entry and all personnel entering the facility shall wear surgical mask, goggles, and gloves, at minimum, regardless of social distancing or separation.
•Surgical mask for the patient. Best way to reduce your exposure
•N95 (preferred) or surgical mask for all routine patient contacts
•N95 required for all aerosolizing procedures
•Gown (new standard for ALL patients)
•Double gloves
•Eye protection
•Large biohazard/trash bags and disinfectant wipes

Please make sure you are always monitoring yourself for Covid-19 signs and symptoms. If you have any of the following DO NOT COME TO WORK. Contact Luke 909-702-1935 or Mike Jones 909-908-0707 for assistance if you have any of the symptoms listed below. We will refer you to the nurse navigational tools for evaluation.

4) PHONE CALLS FROM MIKE JONES AND OR BRIAN SHISHIDO
If you get a phone call from Brian and or Mike it most likely means you have transported a confirmed Covid patient. McCormick reaches out to all crew members involved in a call to notify them. We give the end date of when to look for symptoms (14 days from exposure) and we also email a MAST tool link to be completed by the caregiver. Here is the link if you don’t check your email or didn’t locate it. https://integratedservices.amr.net/covid19/

5) CALLS THAT NEED TO BE DELETED
Please do not park calls that need to be deleted. Just put DELETE in the case number box and leave the call on the device. The supervisor will go in as an administrator and delete the call from the device.

6)STAY HOME WHEN SICK

If you are not feeling well, please do not come to work. If you start to feel sick at work isolate yourself and notify your sup you need to go home immediately. If you experience anything below isolate immediately. Do not go to work or remain at work.
Symptoms may appear 2-14 days after exposure to the virus.

People with these symptoms may have COVID-19:

Cough

Shortness of breath or difficulty breathing

Fever

Chills

Muscle pain

Sore throat

New loss of taste or smell

7) REQUIRED DAILY TASKS A. Login into MEDS and check for parked calls. Transmit any call that needs to be transmitted. If a call needs to be deleted, please work with your supervisor to complete it. B. Check Telestaff to ensure you have punched in and out for any and all shifts you worked. C. Check Success Factors for any outstanding online courses

UPDATE #35

Posted 05/21/2020

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1)MASKS ARE MANDATORY We are now requiring either a cloth mask or a surgical mask for all waking hours while on shift except when you are actively eating and or sleeping. If you are eating, you should distance yourself from others. This mandatory mask order extends beyond the previous HQ and maintenance to include all stations. This includes driving, hanging out at station etc. Anytime you are not actively eating or sleeping you must have a mask on. This will be strictly enforced. Keep as much distance as you can from others, ideally 6 feet or more when you can as well. Thanks

2)PPE (URGENT NEW PATIENT GUIDELINES updated 5/13/20)
The following update is in regard to PPE for all HCP’s within 6 feet of a patient. Please follow these guidelines and remember, hand washing and ambulance decon procedures using company approved disinfectant (Pro-Tech) should be utilized after all patient contacts/transports. Utilize the ambulance fogger for confirmed COVID positive and or suspected COVID patients when available. Contact your on-duty supervisor for fogging guidelines.

HERE ARE LaCoFD EXPECTATIONS EFFECTIVE TODAY
•Due to known community spread, ALL patients both medical and trauma shall be considered COVID positive. Any response to a group home (homeless shelter, convalescent home, jails, etc.), minimize first responder entry and all personnel entering the facility shall wear surgical mask, goggles, and gloves, at minimum, regardless of social distancing or separation.
•Surgical mask for the patient. Best way to reduce your exposure
•N95 (preferred) or surgical mask for all routine patient contacts
•N95 required for all aerosolizing procedures
•Gown (new standard for ALL patients)
•Double gloves
•Eye protection
•Large biohazard/trash bags and disinfectant wipes Please review this link which has very detailed information

3) COVID SIGNS AND SYMPTOMS Please make sure you are always monitoring yourself for Covid-19 signs and symptoms. If you have any of the following DO NOT COME TO WORK. Contact Luke 909-702-1935 or Mike Jones 909-908-0707 for assistance if you have any of the symptoms listed below. We will refer you to the nurse navigational tools for evaluation.
Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:
Cough
Shortness of breath or difficulty breathing
Fever
Chills
Muscle pain
Sore throat
New loss of taste or smell

4)STATION SEPARATION We have ordered barrier curtains to put up between beds. They are expected to arrive today 5/21/20 according to the tracking. Doug is being tasked with getting them up as soon as they arrive.. We will have them placed between all beds at stations. In the interim your sups are reaching out to all stations to separate the beds as far as you can. Be creative. See how far you can get your beds separated. Use your sup if you need help. Also sleep in opposite directions to maximize distances

6)MEMORIAL DAY
Please remember next Monday is Memorial day and it is an 8 point day. It also is 1 point per hour if late or partial call offs. You can give the shift away for zero (0) points.

7) PHONE CALLS FROM MIKE JONES AND OR BRIAN SHISHIDO
If you get a phone call from Brian and or Mike it most likely means you have transported a confirmed Covid patient. McCormick reaches out to all crew members involved in a call to notify them. We give the end date of when to look for symptoms (14 days from exposure) and we also email a MAST tool link to be completed by the caregiver. Here is the link if you don’t check your email or didn’t locate it. https://integratedservices.amr.net/covid19/

8)PATIENT INFORMATION IS MANDATORY
If you are unable to obtain patient information you must documents why in the narrative. This information is critical. This includes patient name, phone number, date of birth, social security number and insurance information. We will be doing reviews of patients with a GCS of 15 to ensure compliance.

9) CALLS THAT NEED TO BE DELETED
Please do not park calls that need to be deleted. Just put DELETE in the case number box and leave the call on the device. The supervisor will go in as an administrator and delete the call from the device.

10) 1104
With volume down significantly we must evaluate our deployment and the extra units we put on the road. As a result of call demand being low, we will be replacing 1104 with 1111. Deployment supervisors are working with the crews to keep those with bid rights that want to stay at station 11. Anyone without bid rights will be placed onto other available options. In case anyone ever wonders what happens if you have bid rights and

a shift goes away. The caregiver is given a priority bid and goes to the front of the line at a shift of their choice. If multiple people are displaced and they bid for the same shift we look at who bid first, and if that is a tie we use seniority usually.

ONGOING INFORMATION

1)STAY HOME WHEN SICK If you are not feeling well, please do not come to work. If you start to feel sick at work isolate yourself and notify your sup you need to go home immediately. If you experience anything below isolate immediately. Do not go to work or remain at work.
Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:
Cough
Shortness of breath or difficulty breathing
Fever
Chills
Muscle pain
Sore throat
New loss of taste or smell

2) REQUIRED DAILY TASKS A. Login into MEDS and check for parked calls. Transmit any call that needs to be transmitted. If a call needs to be deleted, please work with your supervisor to complete it. B. Check Telestaff to ensure you have punched in and out for any and all shifts you worked. C. Check Success Factors for any outstanding online courses

UPDATE #34

Posted 05/19/2020

1)PPE (URGENT NEW PATIENT GUIDELINES 5/13/20)
The following update is in regard to PPE for all HCP’s within 6 feet of a patient. Please follow these guidelines and remember, hand washing and ambulance decon procedures using company approved disinfectant (Pro-Tech) should be utilized after all patient contacts/transports. Utilize the ambulance fogger for confirmed COVID positive and or suspected COVID patients when available. Contact your on-duty supervisor for fogging guidelines.
HERE ARE LaCoFD EXPECTATIONS EFFECTIVE TODAY
•Due to known community spread, ALL patients both medical and trauma shall be considered COVID positive. Any response to a group home (homeless shelter, convalescent home, jails, etc.), minimize first responder entry and all personnel entering the facility shall wear surgical mask, goggles, and gloves, at minimum, regardless of social distancing or separation.
•Surgical mask for the patient. Best way to reduce your exposure
•N95 (preferred) or surgical mask for all routine patient contacts
•N95 required for all aerosolizing procedures
•Gown (new standard for ALL patients)
•Double gloves
•Eye protection
•Large biohazard/trash bags and disinfectant wipes Please review this link which has very detailed information https://www.globalmedicalresponse.com/getdoc/7f6d1ed0-f205-4f6d-9e1c-98064a9209d0/covid-19-ppe-policy-update-(2).pdf This link gives specific guidelines on extended and reuse guidance for ppe https://www.globalmedicalresponse.com/getdoc/86239830-724d-4f54-abc0-3682c709acb4/202004-9201-gmr-ppe-infographic-flyer_v2.pdf

2) COVID SIGNS AND SYMPTOMS Please make sure you are always monitoring yourself for Covid-19 signs and symptoms. If you have any of the following DO NOT COME TO WORK. Contact Luke 909-702-1935 or Mike Jones 909-908-0707 for assistance if you have any of the symptoms listed below. We will refer you to the nurse navigational tools for evaluation.
Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:
Cough
Shortness of breath or difficulty breathing
Fever
Chills
Muscle pain
Sore throat
New loss of taste or smell

3)STATION SEPERATION We have ordered barrier curtains to put up between beds. They are expected to arrive by 5/26. We will have them placed between all beds at stations. In the interim your sups are reaching out to all stations to separate the beds as far as you can. Be creative. See how far you can get your beds separated. Use your sup if you need help. Also sleep in opposite directions to maximize distances

4) MASKS MANDATORY ON SHIFT (NEW 5/18) We are now requiring either a cloth mask or a surgical mask for all waking hours while on shift except when you are actively eating and or sleeping. If you are eating, you should distance yourself from others. This mandatory mask order extends beyond the previous HQ and maintenance to include all stations.

1)PPE (URGENT NEW PATIENT GUIDELINES 5/13/20)
The following is an update is in regard to PPE for all HCP’s within 6 feet of a patient. Please follow these guidelines and remember, hand washing and ambulance decon procedures using company approved disinfectant (Pro-Tech) should be utilized after all patient contacts/transports. Utilize the ambulance fogger for confirmed COVID positive and or suspected COVID patients when available. Contact your on-duty supervisor for fogging guidelines.

HERE ARE LaCoFD EXPECTATIONS CURRENTLY EFFECTIVE
•Due to known community spread, ALL patients both medical and trauma shall be considered COVID positive. Any response to a group home (homeless shelter, convalescent home, jails, etc.), minimize first responder entry and all personnel entering the facility shall wear surgical mask, goggles, and gloves, at minimum, regardless of social distancing or separation.
•Surgical mask for the patient. Best way to reduce your exposure
•N95 (preferred) or surgical mask for all routine patient contacts
•N95 required for all aerosolizing procedures
•Gown (new standard for ALL patients)
•Double gloves
•Eye protection
•Large biohazard/trash bags and disinfectant wipes

2)STATION SEPARATION
We have ordered barrier curtains to put up between beds. They are expected to arrive
5/20-5/26. We will have them placed between all beds at stations. In the interim your
sups are reaching out to all stations to separate the beds as far as you can. Be creative.
See how far you can get your beds separated. Use your sup if you need help. Also
sleep in opposite directions to maximize distances

3) MASKS MANDATORY ON SHIFT (NEW)
We are now requiring either a cloth mask or a surgical mask for all waking hours while
on shift except when you are actively eating and or sleeping. If you are eating, you
should distance yourself from others. This mandatory mask order extends beyond the
previous HQ and maintenance to include all stations.

5)N95 UPDATES
We are starting a second testing center which will be mobile in the valley division
this week. Thank you everyone that has required a new test for getting it handled.

6)MEMORIAL DAY
Please remember next Monday is Memorial day and it is an 8 point day. It also is 1 point
per hour if late or partial call offs.

7)DTO
If you are interested in becoming a DTO (Driver Training Officer) please contact Luke or
Raul for more information or please apply through MERs

ONGOING INFORMATION

8)STAY HOME WHEN SICK
If you are not feeling well, please do not come to work. If you start to feel sick at
work isolate yourself and notify your sup you need to go home immediately.

9) REQUIRED DAILY TASKS
A. Login into MEDS and check for parked calls. Transmit any call that needs to
be transmitted. If a call needs to be deleted, please work with your supervisor to
complete it.
B. Check Telestaff to ensure you have punched in and out for any and all shifts
you worked.
C. Check Success Factors for any outstanding online courses

10) PATIENT INFORMATION IS MANDATORY When you run a call you must obtain all patient information. This includes Name, dob, address, telephone number, ssn, insurance information and if a minor guarantor information. We will be looking at this from a QA/QI perspective and will address issues.

UPDATE #32

Posted 05/13/2020

1)PPE (URGENT NEW PATIENT GUIDELINES 5/13/20)
The following is an update is in regard to PPE for all HCP’s within 6 feet of a patient. Please follow these guidelines and remember, hand washing and ambulance decon procedures using company approved disinfectant (Pro-Tech) should be utilized after all patient contacts/transports. Utilize the ambulance fogger for confirmed COVID positive and or suspected COVID patients when available. Contact your on-duty supervisor for fogging guidelines.

HERE ARE LaCoFD EXPECTATIONS EFFECTIVE TODAY
•Due to known community spread, ALL patients both medical and trauma shall be considered COVID positive. Any response to a group home (homeless shelter, convalescent home, jails, etc.), minimize first responder entry and all personnel entering the facility shall wear surgical mask, goggles, and gloves, at minimum, regardless of social distancing or separation.
•Surgical mask for the patient. Best way to reduce your exposure
•N95 (preferred) or surgical mask for all routine patient contacts
•N95 required for all aerosolizing procedures
•Gown (new standard for ALL patients)
•Double gloves
•Eye protection
•Large biohazard/trash bags and disinfectant wipes

3)N95 UPDATES
If you have been fit tested for Moldex size small N95 masks, please contact Jason Rich jason.rich2@gmr.net to be placed on a roster of personnel that will be fit tested for 3m and or alternate N95’s. We have done a large group so far this week. If you still need to be done please reach out immediately. We are also pulling in other crews based on our records for additional testing. If you get pulled into HQ it is most likely for this.

4) PATIENT INFORMATION IS MANDATORY When you run a call you must obtain all patient information. This includes Name, dob, address, telephone number, ssn, insurance information and if a minor guarantor information. We will be looking at this from a QA/QI perspective and will address issues.

5) STAY HOME WHEN SICK If you are not feeling well, please do not come to work. If you start to feel sick at work isolate yourself and notify your sup you need to go home immediately.

6) REQUIRED DAILY TASKS A. Login into MEDS and check for parked calls. Transmit any call that needs to be transmitted. If a call needs to be deleted, please work with your supervisor to complete it. B. Check Telestaff to ensure you have punched in and out for any and all shifts you worked. C. Check Success Factors for any outstanding online courses.

At minimum you should be wearing gloves, N95 and goggles during all patient contacts. If there is a fluid risk which includes aerosolized treatments you should be including gowns. If you do not have the necessary equipment you should be out of service. If you run a call without the proper equipment you have not followed company procedures. It is your responsibility to make sure you are monitoring your unit inventory.

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2) URGENT MOLDEX N95 SIZE SMALL UPDATE

If you have been fit tested for Moldex size small N95 masks, please contact Jason Rich jason.rich2@gmr.net to be placed on a roster of personnel that will be fit tested for 3m and or alternate N95’s. We have done a large group so far this week. If you still need to be done please reach out immediately. We are also pulling in other crews based on our records for additional testing. If you get pulled into HQ it is most likely for this.

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3) PATIENT INFORMATION IS MANDATORY

When you run a call you must obtain all patient information. This includes Name, dob, address, telephone number, ssn, insurance information and if a minor guarantor information. We will be looking at this from a QA/QI perspective and will address issues.

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4) AED

If you use your AED on a call, ( that includes putting the pads on the patient without shocking) the following must be done

a.You must complete a PCR

b. You must complete the AED usage form on MERS

c. You must notify your dispatcher and supervisor immediately to be put out of Service. Your supervisor will download the information saved on your AED

d. You cannot run another call without servicing the AED. Please refer to SOP 309 for any additional questions or contact your on duty supervisor

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5) STATION 21

The only crew allowed out of the back of the property during shift is 2105 and that is only to leave for a call and or return from a call. There should be no gathering, talking, playing or any other disturbances from the rear of the property. There should be no loud noise, radio or musical instruments played at this property.

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6)QA SENDBACKS

Please check your emails each day for QA Addendum Notifications. QA Addendums must be finished within 5 days of the date of the Notification. Instructions for completion will be in your email.

7) STATIONS

To reduce the number of personnel that access a station, move ups will not be permitted to enter another station during this current health crisis. This is in addition to our current no visitor inside rule. Visitors include friends, family and off duty McCormick personnel (even those stationed at that house). If you have food being brought to you, you must meet the visitor in the parking lot and maintain the approved social distance space.

** Crews will be allowed to post outside stations. If a crew member needs to use the restroom, they will need to contact dispatch prior to entering the building. Crew member will need to clear the building immediately after using the facilities. Crew member should wipe down any areas they touched. Access to a station other than your deployed station without dispatch knowledge and approval prior is prohibited.**

8) STAY HOME WHEN SICK

If you are not feeling well, please do not come to work. If you start to feel sick at work isolate yourself and notify your sup you need to go home immediately.

9) REQUIRED DAILY TASKS

A. Login into MEDS and check for parked calls. Transmit any call that needs to be transmitted. If a call needs to be deleted, please work with your supervisor to complete it.

B. Check Telestaff to ensure you have punched in and out for any and all shifts you worked.